Organization
ASSESSMENT, CONSULTATION, COUNSELLING AND EDUCATIONAL SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEWITT KITLOWSK (CO-DIRECTOR)
(951) 265-6504
Entity
Organization
Contact information
Practice address
27268 VIA INDUSTRIA, TEMECULA, CA 92590-3751
(951) 265-6504
Mailing address
27268 VIA INDUSTRIA, TEMECULA, CA 92590-3751
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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